A Background on Classical Osteopathy & Stillian Principles

Osteopathy was founded in the late 1800s by Dr. Andrew Taylor Still, who believed the body functions as an integrated whole, rather than a collection of isolated parts. His observations preceded our present understanding of the human body, yet his principles align remarkably well with what we now understand about physiology, adaptation, and movement.

Classical osteopathy views the body as inherently capable of self-healing and self-regulating. The osteopathic approach focuses on understanding how altered anatomical structure impairs physiological functioning, and how by influencing the physical body we can restore health to the tissues.

This foundation continues to guide osteopathic manual practitioners (OMPs) today — especially those trained in Classical, hands-on schools where anatomy, palpation, and functional mechanics form the core of education.

The Four Stillian Principles

  1. The Body Is a Functional Unit

  2. Structure and Function Are Interdependent

  3. The Body Has an Innate Capacity for Self-Regulation

  4. Rational Treatment Is Based on These Principles

Manual Medicine

Canadian-trained osteopathic practitioners receive world renowned training to become experts in manual medicine. The extensive, multi-year, hands-on education based on observation, palpation, as well as rigorous continuing education in seminars and workshops to refine their practice and stay at the top of training. Classical assessment includes:

  • Myofascial release

  • Joint mobilization and gentle manipulation

  • Craniosacral techniques

  • Visceral manipulation

  • Fluid and pressure balancing

  • Rhythmic oscillatory techniques

  • Muscle energy: post-isometric relaxation and reciprocal inhibition

What to Expect: A Highly Individualized Approach

Osteopathic manual treatment (OMT) is highly individualized. Unlike protocol-based approaches commonly found in Western medicine and some forms of bodywork, osteopathy adapts to the unique presentation of each patient at every visit. No two bodies compensate in the same way, and no two patterns of discomfort share identical mechanical, neurological, or behavioral contributors.

Treatment is shaped by your current physical state, your history of injuries or stressors, the demands your daily life places on your system and the practitioners unique approach. Rather than applying a predetermined sequence of techniques, OMT relies on continuous observational and palpatory assessment, feeling how tissues respond, adjusting pressure and direction, and selecting techniques based on what your body needs in real time.

This means that:

  • Each session looks different, even for the same patient.

  • Treatment evolves as your body adapts and integrates previous work.

  • Your comfort, feedback, and nervous system responses guide the pace and depth of care.

  • Techniques may vary from subtle, low-force approaches to more dynamic tissue work, depending on what is appropriate for your body that day.

The goal is not only to reduce symptoms, but to understand why your system is overloaded, restore mobility where it has been lost, and help your body move more efficiently.

Physical therapy session with a woman assisting a patient lying on a treatment table, near large windows with a city view.